Anyone taking Flecainide or Multag for arrhythmias?
My EP put me on flecainide about six weeks ago 50 mg twice a day and recently upped it to 75 mg twice a day. Every time I take the flecainide about an hour or so later I go into a fib and I think the flecainide is causing it. I want to stop taking it but not sure how to wean off. Has anyone else had this problem?
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I have several heart rhythm issues, including AFib, PACs, PVCs, tachycardia and bradycardia. I am followed by both Cardiology and Cardiac Electrophysiology providers. They have been so helpful.
I was started on 50 mg of Flecainide and 5 mg of Eliquis after a 7 hour episode of AFib over a year ago. I did not have any side effects, but I slowly tapered the meds down to 1/4 of a tablet of each twice a day, and I have not had any AFib episodes or serious arrhythmias. I attribute my success to following the guidelines in the book AFib Cure written by two esteemed Cardiac Electrophysiologists. This is a fabulous book that I highly recommend you read. It can be purchased on Amazon.
Diet and Exercise were important components for my success. I quickly learned that exercise needs to be customized for each person. It has taken me over a year to find a home program that works for me , and to slowly increase my duration of exercise without triggering arrhythmias. I have also been working with a physical therapist on strength training, diaphragm breathing, and balance.
I carefully monitor my heart's response to exercise with an Apple Watch, Lookee Tech 2 lead ECG, Nonin Connect or Lookee Tech Sleep pro oximeter, and Omron wrist blood pressure. I can quickly see when I have pushed my heart too hard by drops in my blood oxygen level, slight chest pain, and arrhythmias appearing.
I am now jogging indoors 6 miles (12 minute/mile) within my target heart rate zone for my age of 69. I rarely see anymore arrhythmias. I feel like I have cured my AFib through lifestyle changes.
I wish you the best in finding an integrated program to help improve your heart health.
Thank you for your response.
I am happy for you that you are doing so well.
I dont know if you have seen any of my earlier posts perhaps if you get a chance you can look at the one No Rhyme or Reason which pretty much describes me and my workouts etc.
Doing 6 miles is great and thanks for the info on the A-Fib Cure book.
I am familiar with it but have not read it.
Please stay in touch and let me know how you are doing.
I started flecainide last Sunday March 26 had no episodes that Sunday and Mon, Tuesday had an episode and stayed in it till Thursday.
I never stay in AFib that long.
At most perhaps one day.
I felt it was to coincidental so I stopped it on my own,
I felt it was ok to do that since I only took it for 4 days and I did not want it to build up in my system.
I can’t say for sure that it was the flecainide however I know my own body.
Now I am trying Multaq just started last night Friday.
When I was first diagnosed with AFib I was on Multaq however another cardiologist (I have 2 homes ) In my second home state took my off it because I am asymptomatic.
This first time I was on it for 6 months.
The flecainide and now the Multaq were prescribed by an EP who I saw for the first time on Thursday the 23rd.
Of course they right from the start were trying to sell me an ablation which I do not want to go down that road.
Hope I did the right thing
I HATE taking any drugs.
Please read my earlier posts get an idea off what type of person I am and how I conduct my life, and some of my other thought about AFib.
Are you sure you are going into AFIB after about an hour? And, are you taking a beta blocker with your Flecainide along with an anticoagulant?
I take 100 mg of Flecainide twice daily along with 25 mg of Metoprolol Succinate once a day. It is normally recommended to take a beta blocker such as Metoprolol when taking Flecainide to prevent complications such as yours.
If your doctor who prescribed Flecainide didn’t prescribe a beta blocker it would be wise to seek another opinion.
Thank you for your response. No I am not going into A-Fib after about an hour.
The reason I do not take a beta blocker is I have a low resting pulse rate usually in the 50’s sometimes in the 40’s.
this is not due to any condition I was always told I have an athletic heart due to years of working out etc.
So a beta blocker would really slow me further.
Spoke to pharmacist, as well my daughter is a pharmacist and was told beta blocker is not always prescribed with flecainide it all depends. I would guess your resting pulse rate is higher. As well I can be in A-Fib with BPM in the 60’s or 70’s perhaps 80’s. I have even had it in the 50”s
I have the Sam problem of low blood pressure and had an ablation 7 months ago and also have been on 50 milligrams of flecainide and 5 milligrams of elliquis. I have had three episodes of afib since that I have taken an additional 50 mg. of flecainide and it works. My Dr. wants to insert a LINQ System to continually monitor my heart. Not sure I want to commit to a device for three years when I am aware when I’m in AFIB. At the same time I hate taking these two pills twice a day. I’m 64 and in otherwise good health, walking 4 miles a day and staying active.
I don't go into afib but I feel a trembling in my chest. My face burns and flushes. I also experience an itching on my arms. Simply put, Flecanide is a very hard drug for me to take. I'm very sorry that you are have undesirable side effects and hope your EP can resolve them.
Thank you for your response
Yore reply is appreciated